SPECTRUM INTERNAL MEDICINE, LLC
NPI 1437576659
Clinic/Center - Primary Care in Alpharetta, GA

NPI Status: Active since March 26, 2014

Contact Information

401 S MAIN ST
SUITE B3
ALPHARETTA, GA
ZIP 30009
Phone: (678) 319-9901
Fax: (678) 319-9902

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  • Organization
  • Clinic/Center
  • Primary Care
  • Accepts Insurance
  • CLIA Number: 11D2012609
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-07-2026

About SPECTRUM INTERNAL MEDICINE, LLC

This page provides the complete NPI Profile along with additional information for Spectrum Internal Medicine, Llc, a primary care provider established in Alpharetta, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1437576659 assigned on March 2014. The practitioner's primary taxonomy code is 261QP2300X with license number 58939 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Julius Kolawole Adebisi M.d (Medical Director)

NPI
1437576659
Provider Name
SPECTRUM INTERNAL MEDICINE, LLC
Entity Type
Organization
Location Address
401 S MAIN ST SUITE B3 ALPHARETTA, GA 30009
Location Phone
(678) 319-9901
Location Fax
(678) 319-9902
Mailing Address
401 S MAIN ST SUITE B3 ALPHARETTA, GA 30009
Mailing Phone
(678) 319-9901
Mailing Fax
(678) 319-9902
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2014
Last Update Date
03-26-2014
Code Navigator

A primary care provider (PCP) like Spectrum Internal Medicine, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
58939
License State
GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JULIUS KOLAWOLE ADEBISI M.D

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(678) 319-9901

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
390122159BMEDICAID (05)GA 
202G702174MEDICARE PIN (08) 
H29401MEDICARE UPIN (02) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2012609
Facility Type
Physician Office
Certificate Effective Date
September 08, 2024
Certificate Expiration Date
September 07, 2026
Laboratory Director
JULIUS K. ADEBISI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Spectrum Internal Medicine, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1437576659, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 6 + 7 + 1 + 0 + 7 + 1 + 2 + 6 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1437576659.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Pediatrics
401 S MAIN ST, SUITE C5
ALPHARETTA, GA 30009
Internal Medicine
401 S MAIN ST, SUITE A 4
ALPHARETTA, GA 30009
Obstetrics & Gynecology (Obstetrics)
401 S MAIN ST, SUITE B-8
ALPHARETTA, GA 30009
Internal Medicine
401 S MAIN ST, SUITE A-4
ALPHARETTA, GA 30009
Pediatrics
401 S MAIN ST, SUITE C5
ALPHARETTA, GA 30009
Podiatrist (Foot & Ankle Surgery)
401 S MAIN ST, UNIT A-1
ALPHARETTA, GA 30009
Podiatrist (Foot & Ankle Surgery)
401 S MAIN ST, UNIT A-1
ALPHARETTA, GA 30009
Internal Medicine
401 S MAIN ST, SUITE A4
ALPHARETTA, GA 30009
Counselor (Mental Health)
401 S MAIN ST
ALPHARETTA, GA 30009
Clinic/Center (Primary Care)
401 S MAIN ST, SUITE C7
ALPHARETTA, GA 30009
Technician/Technologist (Ocularist)
401 S MAIN ST, SUITE B6
ALPHARETTA, GA 30009
Dentist
401 S MAIN ST, SUITE B5
ALPHARETTA, GA 30009
Nurse Practitioner (Family)
401 S MAIN ST
ALPHARETTA, GA 30009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437576659, enumerated as an "organization" on March 26, 2014.

The provider is located at 401 S MAIN ST SUITE B3 ALPHARETTA, GA 30009 and the phone number is (678) 319-9901.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.